Smith, Dean A

Smith, Dean A is an individual health care provider with primary practice located at 305 Wildwood Cir , Myrtle Beach SC 29572-4748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Dean A can be contacted via phone (843) 497-8538.

Contact Information

Primary practice address
305 Wildwood Cir Myrtle Beach SC 29572-4748
Phone: (843) 497-8538
Fax: (843) 449-2333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20127 South Carolina

Profile Details

NPI number 1811963390
LBN Legal business name Smith, Dean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated May 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811963390 NPPES
South Carolina MEDICAID N00356

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